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Evaluation of a program of exercise training performed in patients with breast cancer
Abstracts / Annals of Physical and Rehabilitation Medicine 57S (2014) e368–e374 Objectives.– The benefits of physical activity on the life expectancy and the quality of life of cancer patients has been proved. Thereby we propose a specific program for these patients inside our rehabilitation unit. Methods.– The program is proposed to adults cancer patients during treatment phase or during remission, after an inclusion consultation by a rehabilitation doctor. The program consists of 24 by one hour group sessions, of aerobic and against resistance physical activity supervised by a teacher experimented in adapted physical activity. Results.– The program is evaluated on these following criteria: personal satisfaction, quality of life and functional walking test. Discussion.– The implementation of this program, organised with the joint collaboration of oncologists, allows us to propose a global coverage for cancer patients during treatment or during remission. Further reading Irwin MI, et al. J Clin Oncol 2008. http://dx.doi.org/10.1016/j.rehab.2014.03.1362 P415-e
Modern methods of conservative treatment of anal incontinence I. Rudakov , K. Lyadov , T. Shapovalenko , B. Rudakov Treatment and Rehabilitation Center of the Ministry of Health, Moscow, Russia Keywords: Fecal incontinence; Biofeedback Introduction and objective.– Study was aimed to evaluate the efficiency of biofeedback, vortex magnetic currents and electrical stimulation for the treatment of patients with faecal incontinence. Methods.– Twenty-eight patients aged 57 + 12 years with anal incontinence were included. Patients were randomized into three groups: First – 13 patients with moderate anal retention of feces, 2nd – 8 patients with complete anal incontinence, the 3rd – 7 patients with denervated anal sphincter and complete anal incontinence. Wexner Scale was administered at the 1st and 10th day of therapy. Daily treatment (day 1 to 10) included: two-channel electrical stimulator “Cefar Peristim Pro”, biofeedback complex “UROSTYM”, electromagnetic stimulation on “BIOCON-2000W”. Results.– Patients of 1st and 2nd groups showed an increase in the compression force of the anal sphincter by 80–95% (average 88%). Seven patients achieved complete anal holding, the remaining 14 patients were able to significantly reduce the number of acts of defecation per day. Three patients showed an increase in the compression force of the anal sphincter by 10–25% and achieved the possibility of containing short time dense faeces. Discussion.– The proposed treatment in the early recovery period after surgery for colon cancer is a highly effective method of faecal retention recovery. http://dx.doi.org/10.1016/j.rehab.2014.03.1363 P416-e
Age, gender and symptom intensity influence test taking parameters on functional patient reported outcomes
e373
Methods.– Demographics and comorbidities were abstracted from the medical records of 311 adults with late stage lung cancer. Participants were followed monthly by telephone: administration of the AM PAC CAT, followed by numerical rating scoring (NRS) of their pain, fatigue, and dyspnea. Results.– Among > 250 CAT sessions, women and older patients took longer to complete CAT sessions, were more likely to skip items, and produced scores with larger standard errors. Respondents with higher levels of dyspnea and fatigue, but not pain, completed their CAT sessions more rapidly and were less likely to skip items. Conclusions.– Women, geriatric patients, and patients with intense symptoms, differ systematically in the time they are willing to devote to testing and the precision of their responses. http://dx.doi.org/10.1016/j.rehab.2014.03.1364 P417-e
Physical activity for management of cancer-related fatigue: A new paradigm S.E. Berthouze a,∗ , A.M. Foucaut a , M. Touillaud b , C. Baudinet b , B. Robert c , E. Reynes a , M. Pavic d , J. Carretier b , O. Tredan b , P. Bachmann b , B. Fervers b a CRIS-EA 647, Université Claude-Bernard Lyon 1, Villeurbanne cedex, France b Centre Léon-Bérard, Lyon, France c Équipe Handicap et Système Nerveux, EA 4136, Université Segalen, Bordeaux, France d Hôpital Militaire Desgenettes, Lyon, France ∗ Corresponding author. Keywords: Cancer-related fatigue; Physical activity; Sedentary lifestyle process; Cancer Background and objectives.– Of all the cancer-related side effects, fatigue is the most frequently reported symptom: the first to appear and often the last to disappear. The mechanisms of cancer-related fatigue (CRF) are not fully understood and management is still based on the treatment of associated pathologies or recommendations to rest. Methods.– We provide a new approach of CRF management using the 3H syndrome, the vicious circle of the sedentary lifestyle process, as a model. It provides a framework for understanding both the CRF process and re-involving patients in regular physical activity. Discussion.– The main challenges is to convince patients and clinicians that rest is not an appropriate response to fatigue and may even worsen the patient’s health status. Against fatigue, physical activity is the most effective care, without side effects. But just presenting the benefits of physical activity is insufficient to convince patients to adopt an active lifestyle. To change behaviors, clinicians and patients must understand the reason why rest is not the best response to CRF. Until now, no analysis had accounted for the entire process involved. Our model is easy to implement and should facilitate awareness and behavior changes. http://dx.doi.org/10.1016/j.rehab.2014.03.1365 P418-e
A. Cheville a,∗ , J. Basford a , C. Wang b a Mayo Clinic, Rochester, USA b University of Minnesota, USA ∗ Corresponding author.
Evaluation of a program of exercise training performed in patients with breast cancer
Keywords: Physical function; Item response theory; Psychometrics; Outcome measures Objective.– Item response theory-based patient reported outcomes (PROs) such as the Activity Measure for Post-Acute Care Computer Adaptive Test (AM PAC CAT) are gaining use due to their flexibility and ease of administration. Their psychometric properties are being explored but little is known about how respondent characteristics may impact precision. The goal of this study was to assess the effects of age, gender, and symptom intensity on respondents’ test-taking behaviours and scores.
Introduction and objective.– The main objective was to evaluate the adherence of patients with breast cancer program reconditioning programs implemented by service Sports Medicine CHU de Rennes, and the rate of pursuit regular physical activity (PRA) after the period of reconditioning. The secondary Objectives were to determine the causes of the failure of adherence and the pursuit of APR. Methods.– This is a retrospective study of 269 patients. Results.– It has shown that this program of exercise training has a high rate of membership once it started (93.4%) and more than 80% of patients requesting
P. Guillemot CHU Pontchaillou, Rennes, France
e374
Abstracts / Annals of Physical and Rehabilitation Medicine 57S (2014) e368–e374
a program have pursued PRA over 11 months. This has affected almost 75% of patients who did not practice PRA before. Discussion.– Several factors limiting membership to retraining and continuing PRA were identified. These are essentially the same and they have been entangled.
Conclusion.– Given the benefits of PRA in breast cancer in terms of quality of life and recurrence, these results are interesting because they show the effectiveness of the retraining program and encourage them to develop others. http://dx.doi.org/10.1016/j.rehab.2014.03.1366
Modern methods of conservative treatment of anal incontinence I. Rudakov , K. Lyadov , T. Shapovalenko , B. Rudakov Treatment and Rehabilitation Center of the Ministry of Health, Moscow, Russia Keywords: Fecal incontinence; Biofeedback Introduction and objective.– Study was aimed to evaluate the efficiency of biofeedback, vortex magnetic currents and electrical stimulation for the treatment of patients with faecal incontinence. Methods.– Twenty-eight patients aged 57 + 12 years with anal incontinence were included. Patients were randomized into three groups: First – 13 patients with moderate anal retention of feces, 2nd – 8 patients with complete anal incontinence, the 3rd – 7 patients with denervated anal sphincter and complete anal incontinence. Wexner Scale was administered at the 1st and 10th day of therapy. Daily treatment (day 1 to 10) included: two-channel electrical stimulator “Cefar Peristim Pro”, biofeedback complex “UROSTYM”, electromagnetic stimulation on “BIOCON-2000W”. Results.– Patients of 1st and 2nd groups showed an increase in the compression force of the anal sphincter by 80–95% (average 88%). Seven patients achieved complete anal holding, the remaining 14 patients were able to significantly reduce the number of acts of defecation per day. Three patients showed an increase in the compression force of the anal sphincter by 10–25% and achieved the possibility of containing short time dense faeces. Discussion.– The proposed treatment in the early recovery period after surgery for colon cancer is a highly effective method of faecal retention recovery. http://dx.doi.org/10.1016/j.rehab.2014.03.1363 P416-e
Age, gender and symptom intensity influence test taking parameters on functional patient reported outcomes
e373
Methods.– Demographics and comorbidities were abstracted from the medical records of 311 adults with late stage lung cancer. Participants were followed monthly by telephone: administration of the AM PAC CAT, followed by numerical rating scoring (NRS) of their pain, fatigue, and dyspnea. Results.– Among > 250 CAT sessions, women and older patients took longer to complete CAT sessions, were more likely to skip items, and produced scores with larger standard errors. Respondents with higher levels of dyspnea and fatigue, but not pain, completed their CAT sessions more rapidly and were less likely to skip items. Conclusions.– Women, geriatric patients, and patients with intense symptoms, differ systematically in the time they are willing to devote to testing and the precision of their responses. http://dx.doi.org/10.1016/j.rehab.2014.03.1364 P417-e
Physical activity for management of cancer-related fatigue: A new paradigm S.E. Berthouze a,∗ , A.M. Foucaut a , M. Touillaud b , C. Baudinet b , B. Robert c , E. Reynes a , M. Pavic d , J. Carretier b , O. Tredan b , P. Bachmann b , B. Fervers b a CRIS-EA 647, Université Claude-Bernard Lyon 1, Villeurbanne cedex, France b Centre Léon-Bérard, Lyon, France c Équipe Handicap et Système Nerveux, EA 4136, Université Segalen, Bordeaux, France d Hôpital Militaire Desgenettes, Lyon, France ∗ Corresponding author. Keywords: Cancer-related fatigue; Physical activity; Sedentary lifestyle process; Cancer Background and objectives.– Of all the cancer-related side effects, fatigue is the most frequently reported symptom: the first to appear and often the last to disappear. The mechanisms of cancer-related fatigue (CRF) are not fully understood and management is still based on the treatment of associated pathologies or recommendations to rest. Methods.– We provide a new approach of CRF management using the 3H syndrome, the vicious circle of the sedentary lifestyle process, as a model. It provides a framework for understanding both the CRF process and re-involving patients in regular physical activity. Discussion.– The main challenges is to convince patients and clinicians that rest is not an appropriate response to fatigue and may even worsen the patient’s health status. Against fatigue, physical activity is the most effective care, without side effects. But just presenting the benefits of physical activity is insufficient to convince patients to adopt an active lifestyle. To change behaviors, clinicians and patients must understand the reason why rest is not the best response to CRF. Until now, no analysis had accounted for the entire process involved. Our model is easy to implement and should facilitate awareness and behavior changes. http://dx.doi.org/10.1016/j.rehab.2014.03.1365 P418-e
A. Cheville a,∗ , J. Basford a , C. Wang b a Mayo Clinic, Rochester, USA b University of Minnesota, USA ∗ Corresponding author.
Evaluation of a program of exercise training performed in patients with breast cancer
Keywords: Physical function; Item response theory; Psychometrics; Outcome measures Objective.– Item response theory-based patient reported outcomes (PROs) such as the Activity Measure for Post-Acute Care Computer Adaptive Test (AM PAC CAT) are gaining use due to their flexibility and ease of administration. Their psychometric properties are being explored but little is known about how respondent characteristics may impact precision. The goal of this study was to assess the effects of age, gender, and symptom intensity on respondents’ test-taking behaviours and scores.
Introduction and objective.– The main objective was to evaluate the adherence of patients with breast cancer program reconditioning programs implemented by service Sports Medicine CHU de Rennes, and the rate of pursuit regular physical activity (PRA) after the period of reconditioning. The secondary Objectives were to determine the causes of the failure of adherence and the pursuit of APR. Methods.– This is a retrospective study of 269 patients. Results.– It has shown that this program of exercise training has a high rate of membership once it started (93.4%) and more than 80% of patients requesting
P. Guillemot CHU Pontchaillou, Rennes, France
e374
Abstracts / Annals of Physical and Rehabilitation Medicine 57S (2014) e368–e374
a program have pursued PRA over 11 months. This has affected almost 75% of patients who did not practice PRA before. Discussion.– Several factors limiting membership to retraining and continuing PRA were identified. These are essentially the same and they have been entangled.
Conclusion.– Given the benefits of PRA in breast cancer in terms of quality of life and recurrence, these results are interesting because they show the effectiveness of the retraining program and encourage them to develop others. http://dx.doi.org/10.1016/j.rehab.2014.03.1366